PDF(Pubmed)
Abstract：
UNASSIGNED: Post-polio syndrome (PPS) is characterized by new or worsening muscular weakness, atrophy, muscle and joint pain, and muscle fatiguability decades after paralytic poliomyelitis infection.
UNASSIGNED: A 56-year-old man was diagnosed with paralytic poliomyelitis at the age of five, which left him with flaccid paralysis and weakness of the right leg. One year before seeking chiropractic care, the patient saw his primary care physician with neck pain, low back pain, and fatigue. At the time, he had been diagnosed with degenerative spondylosis and was being treated with tricyclic antidepressants, clonazepam, and tramadol. Despite taking the drugs, his spinal pain and fatigability deteriorated, and he acquired head ptosis during the following six months. As a result, he sought chiropractic care for second opinion. Due to the patient\'s failure to respond to oral analgesics, radiographs were performed, which revealed degenerative spondylosis, cervical flexion deformity, right pelvic drop, and right thoracolumbar scoliosis. The patient met the PPS diagnostic criteria. PPS related isolated neck extensor myopathy (INEM) was impressed. Multimodal intervention including cervical and lumbar manipulation, spinal traction, micro-vibration deep muscle massage, and core muscle training was provided. As a result of 40-month treatment, the patient reported full resolution of physical complaints. Head posture restored, cervical curvature retrieved and pelvic obliquity relatively corrected.
UNASSIGNED: Survivors of paralytic polio are especially vulnerable to developing leg weakness and length discrepancy, pelvic obliquity, asymmetric axial loading, and trunk muscular imbalance. The current case demonstrates a rare myopathy in a patient at post-polio stage, as well as the restoration of neck function with chiropractic intervention.
UNASSIGNED: A 56-year-old man was diagnosed with paralytic poliomyelitis at the age of five, which left him with flaccid paralysis and weakness of the right leg. One year before seeking chiropractic care, the patient saw his primary care physician with neck pain, low back pain, and fatigue. At the time, he had been diagnosed with degenerative spondylosis and was being treated with tricyclic antidepressants, clonazepam, and tramadol. Despite taking the drugs, his spinal pain and fatigability deteriorated, and he acquired head ptosis during the following six months. As a result, he sought chiropractic care for second opinion. Due to the patient\'s failure to respond to oral analgesics, radiographs were performed, which revealed degenerative spondylosis, cervical flexion deformity, right pelvic drop, and right thoracolumbar scoliosis. The patient met the PPS diagnostic criteria. PPS related isolated neck extensor myopathy (INEM) was impressed. Multimodal intervention including cervical and lumbar manipulation, spinal traction, micro-vibration deep muscle massage, and core muscle training was provided. As a result of 40-month treatment, the patient reported full resolution of physical complaints. Head posture restored, cervical curvature retrieved and pelvic obliquity relatively corrected.
UNASSIGNED: Survivors of paralytic polio are especially vulnerable to developing leg weakness and length discrepancy, pelvic obliquity, asymmetric axial loading, and trunk muscular imbalance. The current case demonstrates a rare myopathy in a patient at post-polio stage, as well as the restoration of neck function with chiropractic intervention.
摘要：
■脊髓灰质炎后综合征（PPS）的特征是新的或恶化的肌肉无力，萎缩,肌肉和关节疼痛，麻痹性脊髓灰质炎感染后几十年的肌肉疲劳。
一名56岁男子在5岁时被诊断出患有麻痹性脊髓灰质炎,这让他有松弛性瘫痪和右腿无力。在寻求脊椎按摩治疗前一年，病人看到他的初级保健医生颈部疼痛，腰痛,和疲劳。当时,他被诊断出患有退行性脊椎病，正在接受三环抗抑郁药治疗，氯硝西泮,还有曲马多.尽管服用了药物,他的脊椎疼痛和易疲劳性恶化,在接下来的六个月里，他获得了头部下垂。因此,他寻求脊椎按摩治疗以寻求第二意见。由于患者对口服镇痛药没有反应，进行了射线照片，这揭示了退行性脊椎病，颈椎屈伸畸形,右骨盆下降,和右侧胸腰段脊柱侧凸.患者符合PPS诊断标准。PPS相关的孤立性颈伸肌病（INEM）印象深刻。多模式干预包括颈椎和腰椎操作，脊柱牵引,微振动深层肌肉按摩，并提供核心肌肉训练。经过40个月的治疗，患者报告身体不适完全解决.头部姿势恢复,恢复颈椎曲度，相对纠正骨盆倾斜。
■麻痹性小儿麻痹症的幸存者特别容易出现腿部无力和长度不一致，骨盆倾斜度,非对称轴向载荷，躯干肌肉失衡.目前的病例显示了脊髓灰质炎后阶段患者的罕见肌病，以及捏脊干预对颈部功能的恢复。
一名56岁男子在5岁时被诊断出患有麻痹性脊髓灰质炎,这让他有松弛性瘫痪和右腿无力。在寻求脊椎按摩治疗前一年，病人看到他的初级保健医生颈部疼痛，腰痛,和疲劳。当时,他被诊断出患有退行性脊椎病，正在接受三环抗抑郁药治疗，氯硝西泮,还有曲马多.尽管服用了药物,他的脊椎疼痛和易疲劳性恶化,在接下来的六个月里，他获得了头部下垂。因此,他寻求脊椎按摩治疗以寻求第二意见。由于患者对口服镇痛药没有反应，进行了射线照片，这揭示了退行性脊椎病，颈椎屈伸畸形,右骨盆下降,和右侧胸腰段脊柱侧凸.患者符合PPS诊断标准。PPS相关的孤立性颈伸肌病（INEM）印象深刻。多模式干预包括颈椎和腰椎操作，脊柱牵引,微振动深层肌肉按摩，并提供核心肌肉训练。经过40个月的治疗，患者报告身体不适完全解决.头部姿势恢复,恢复颈椎曲度，相对纠正骨盆倾斜。
■麻痹性小儿麻痹症的幸存者特别容易出现腿部无力和长度不一致，骨盆倾斜度,非对称轴向载荷，躯干肌肉失衡.目前的病例显示了脊髓灰质炎后阶段患者的罕见肌病，以及捏脊干预对颈部功能的恢复。
